Liposomes with improved drug retention for treatment of cancer

ABSTRACT

The present invention relates to the use of copper ions to achieve enhanced retention of a therapeutic agent within a liposome. The invention may be employed to more effectively deliver a liposomally encapsulated therapeutic agent to a target site in vitro and in vivo for anti-cancer or other therapy. The liposome may comprise an interior buffer solution containing the therapeutic agent, the solution having a pH less than 6.5 and most preferably approximating pH 3.5. At least some of the copper ions are retained within the interior solution. In a particular embodiment the therapeutic agent may be a chemotherapeutic drug, such as irinotecan. The invention may also comprise an ionophore to facilitate loading of drug into the liposome. In one particular embodiment the combination of the ionophore A23187 and encapsulated divalent copper (Cu2+) resulted in an irinotecan formulation that exhibited surprisingly improved drug retention attributes.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a Divisional application of U.S. patent applicationSer. No. 11/576,595, filed Jan. 9, 2008, which is a National PhaseApplication of PCT International Application No. PCT/CA2005/001536,International Filing Date Oct. 6, 2005, claiming priority of U.S.Provisional Application No. 60/615,943, filed Oct. 6, 2004, which areall hereby incorporated by reference in their entirety.

FIELD OF THE INVENTION

This invention relates to a liposome drug loading method and compositionthat provides superior drug retention, enabling enhanced delivery oftherapeutic compounds in vivo.

BACKGROUND OF THE INVENTION

Liposomes are microscopic particles that are made up of one or morelipid bilayers enclosing an internal compartment. Liposomes can becategorized into multilamellar vesicles, multivesicular liposomes,unilamellar vesicles and giant liposomes. Liposomes have been widelyused as carriers for a variety of agents such as drugs, cosmetics,diagnostic reagents, and genetic material. Since liposomes consist ofnon-toxic lipids, they generally have low toxicity and therefore areuseful in a variety of pharmaceutical applications. In particular,liposomes are useful for increasing the circulation lifetime of agentsthat have a short half-life in the bloodstream. Liposome encapsulateddrugs often have biodistributions and toxicities which differ greatlyfrom those of free drug. For specific in vivo delivery, the sizes,charges and surface properties of these carriers can be changed byvarying the preparation methods and by tailoring the lipid makeup of thecarrier. For instance, liposomes may be made to release a drug morequickly by decreasing the acyl chain length of a lipid making up thecarrier.

The most efficient method of encapsulating a high drug payload inliposomes is via active loading. This process is mediated by thecreation of pH gradients (ΔpH) or metal ion gradients (ΔM2+) across theliposomal membrane. For example, a ΔpH generated by preparing liposomesin citrate buffer pH 4.0 followed by exchange of external buffer withbuffered-saline pH 7.5, can promote the liposomal accumulation of weaklybasic drugs. The neutral form of the drug passively diffuses across thelipid bilayer and becomes trapped upon protonation in the low pHenvironment of the liposome interior. This process can result in >98%drug encapsulation and high drug-to-lipid ratios (e.g. vinorelbine).Drug loading via ΔM2+ follows an analogous process, with drugaccumulation being driven by metal ion-complexation (e.g.doxorubicin-Mn2+). Drug loading efficiencies driven by metalion-complexation are comparable to those described for ΔpH.

A further active loading procedure uses a combination of an ionophore,such as A23187, and divalent metal ions (M2+). A23187 incorporates intothe lipid bilayer and exchanges 1M2+ from the interior liposome bufferfor 2H+ from the external buffer, thereby generating and maintaining aΔpH. A23187 and an internal Mn2+ buffer have been used previously toefficiently encapsulate vincristine, ciprofloxacin, topotecan andirinotecan. The role of Mn2+ in this system is believed to be an ‘inert’facilitator for the creation of a ΔpH. Indeed, exchanging the internalMn2+-based buffer with a Cu2+-based buffer does not result in anydifferences in the kinetics of anticancer drug loading.

The present invention relates to the use of divalent copper ions (Cu2+)to significantly enhance intra-liposomal drug retention attributes andhence in vivo therapeutic effects. For example, a Cu2+/A23187 liposomalirinotecan formulation described herein demonstrated significantlyimproved efficacy against murine xenograft models of colorectal cancerwhen compared to the Mn2+/A23187 equivalent. The Applicant's loadingprocedure combines high encapsulation efficiencies (>98%), highdrug-to-lipid ratios and enhanced drug retention. It is notable thatexisting inventions describe the use of transmembrane pH gradients,defining the utility of ionophores to generate a transmembrane pHgradients, or alternatively disclose the use of transition metals, suchas Mn2+ or Cu2+, in the presence of a neutral environment and in theabsence of a transmembrane pH gradient (Fenske et al., U.S. Pat. No.5,837,282; Tardi et al., US 20030091621). The prior art does not teachmethods and compositions that rely on divalent copper ions (Cu2+) in alow pH environment, and it was not anticipated that such compositionswould result in improved drug retention attributes.

Liposomes containing metal ions encapsulated in the interior of thevesicle have previously be used in diagnostic applications. For example,liposomes have been used for delivery of contrast agents with the goalof accumulating a contrast agent at a desired site within the body of asubject. In the latter application, liposomes have mainly been used fordelivery of diagnostic radionucleotides and paramagnetic metal ions ingamma and magnetic resonance imaging, respectively. However, liposomallyencapsulated metal ions in these applications are not employed for drugretention purposes.

Camptothecins are a class of anticancer drugs that inhibit the nuclearenzyme, topoisomerase I (topo I). Topo I facilitates DNA replicationduring the S phase of the cell cycle by inducing transient single strandbreaks in the DNA double-helix. The complex formed between DNA and topoI is referred to as the ‘cleavable complex’. Camptothecins inducecaspase-mediated cellular apoptosis by stabilising this cleavablecomplex. Camptothecins, such as irinotecan, possess a lactone ring. Thislactone ring is crucial for cytotoxic activity. Liposome formulations ofcamptothecins are an attractive option based on the potential for thesecarrier systems to maintain the drug in an environment that favours theactive closed ring lactone form. An equilibrium exists between theclosed lactone ring form of camptothecins and an inactive open-ringcarboxylic acid form (FIG. 1). This equilibrium is influenced by pH. Atacidic pH, equilibrium is driven towards the closed lactone ring. Atneutral or alkaline pH (e.g. physiological conditions), equilibriumfavours the inactive open-ring form.

The need has arisen for improved liposomal formulations which bothenhance retention of encapsulated drugs and also preferably maintain thedrugs in their active form for improved delivery and efficacy at atarget site.

SUMMARY OF THE INVENTION

In one embodiment the invention relates to a composition comprising aliposome encapsulating a therapeutic agent, wherein the therapeuticagent is loaded into the liposome in the presence of intra-liposomalcopper ions, and wherein the copper ions enhance the retention of thetherapeutic agent within the liposome. The liposome may comprise aninterior buffer solution containing the therapeutic agent, the solutionhaving a pH less than 6.5 and most preferably approximating pH 3.5. Atleast some of the copper ions are retained within the interior solution.In a particular embodiment the therapeutic agent may be an anti-cancerdrug, such as irinotecan or vinorelbine.

The invention also relates to a method of enhancing the retention of atherapeutic agent within liposomes comprising the steps of (a) providingwithin an interior of the liposomes an intra-liposomal solutioncomprising copper ions; (b) maintaining the pH of the intra-liposomalsolution below 6.5; (c) providing a therapeutic agent in the externalsolution, wherein the therapeutic agent diffuses into the interior andis encapsulated within the liposomes, and wherein the presence of thecopper ions enhances the retention of the therapeutic agent therein.

BRIEF DESCRIPTION OF THE DRAWINGS

In drawings which describe embodiments of the invention but which shouldnot be construed as restricting the spirit or scope of the invention inany way.

FIG. 1 is a chemical scheme showing a dynamic equilibrium, influenced bypH, which exists between the active closed lactone ring form andinactive open-ring carboxy form of irinotecan.

FIG. 2 is a graph showing irinotecan loading efficiencies (drug/lipidratios) >90% using liposomes with encapsulated unbuffered solutions ofCuS04 or ZnS04.

FIG. 3 is a graph showing irinotecan loading efficiencies (drug/lipidratios) >90% using liposomes with encapsulated buffered CuS04 pH 7.5 orunbuffered CuS04+A23187 ionophore (which maintains low pH environment).

FIG. 4 (A)-(C) are excitation scans showing liposome internal pHfollowing loading of the drug irinotecan. The pH sensitive fluorescentprobe, HPTS, suggests that the internal pH of liposomes withencapsulated unbuffered CuS04 increases following active loading ofirinotecan.

FIG. 5 are HPLC plots demonstrating that irinotecan exists predominatelyas its lactone form irrespective of whether the encapsulated CuS04solution was unbuffered or buffered to pH 7.5

FIG. 6 shows the results of TLC analysis demonstrating that irinotecanexists predominately as its lactone form irrespective of whether theencapsulated CuS04 solution was unbuffered or buffered to pH 7.5

FIG. 7 is a graph showing lipid release of various liposomalformulations in plasma over time.

FIG. 8 is a graph showing percentage lipid release of various liposomalformulations in plasma over time.

FIG. 9 is a graph showing relative drug:lipid ratios over time.

FIG. 10 is a graph showing percentage drug release in plasma over time.

FIG. 11 is a graph showing percentage in s.c. LSI80 tumor volumefollowing a single dose of free or encapsulated CPT-11.

FIG. 12 is a graph showing percentage increase in tumor volume followinga single 50 mg/kg dose of free or encapsulated CPT-11.

FIG. 13 is a graph showing percentage increase in tumor volume followinga single 100 mg/kg dose of free or encapsulated CPT-11.

FIG. 14 is a graph showing percentage increase in tumor volume followinga single dose of free CPT-11.

FIG. 15 is a graph showing percentage increase in tumor volume followinga single dose of pH 7.5 encapsulated CPT-11.

FIG. 16 is a graph showing percentage increase in tumor volume followinga single dose of pH 3.5 encapsulated CPT-11.

FIG. 17 is a graph showing percentage increase in tumor volume followinga single dose of pH 3.5+ionophore encapsulated CPT-11.

FIG. 18 is a table summarizing data derived from analysis of a singledose of CPT-11 (free or DSPC/Chol encapsulated (55:45 mol %) used totreat SCID/Rag2M mice with established tumours derived following s.c.injection of LSI80 human adenocarcinoma cells.

FIG. 19 is graph showing relative irinotecan-to-lipid ratios in theplasma following a single i.v. bolus injection (73.8 μmol/kg; 50 mg/kg)administered to Rag-2M mice. The formulations consisted of the sameliposome composition (DSPC/Chol 55:45 mol %) with different internalsolutions as indicated in the legend. The formulation prepared by theCu2+/A23187 drug loading technology demonstrates significantly betterplasma drug retention as demonstrated by the higher relativeirinotecan-to-lipid ratio after 24 hours.

FIG. 20 is a graph showing relative vinorelbine-to-lipid ratios in theplasma following a single i.v. bolus injection (18.5 μmol/kg; 20 mg/kg)administered to Rag-2M mice. The formulations consisted of the sameliposome composition (DSPC/Chol 55:45 mol %) with different internalsolutions as indicated in the legend. The formulation prepared by theCu2+/A23187 drug loading technology demonstrates significantly betterplasma drug retention as demonstrated by the higher relativevinorelbine-to-lipid ratio after 8 hours.

FIG. 21 is a table summarizing data derived from analysis of a singledose of (73.8 μmol/kg; 50 mg/kg) of unencapsulated irinotecan orliposomal irinotecan (DPSC/Chol 55:45 mol %; irinotecan loading mediatedby different technologies) administered to Rag-2M mice. Thepharmacokinetic parameters of the different irinotecan treatments weredetermined and related to their therapeutic effectiveness againstestablished s.c. LSI80 tumours (human colorectal carcinoma xenograft).

DETAILED DESCRIPTION OF THE INVENTION

Throughout the following description specific details are set forth inorder to provide a more thorough understanding of the invention.However, the invention may be practiced without these particulars. Inother instances, well known elements have not been shown or described indetail to avoid unnecessarily obscuring the present invention.Accordingly, the specification and drawings are to be regarded in anillustrative, rather than a restrictive, sense.

The Applicant's invention provides new methods and compositions toimprove the effectiveness of liposomal drug delivery. The invention isbased on the discovery that the drug retention properties of a liposomeemploying a divalent metal cation for drug loading purposes issurprisingly dependent on the metal employed. By selecting the optimalmetal, namely divalent copper, retention properties can be tailored toachieve a desired release of a selected agent from a liposome.

As described above, various methods are known in the prior art foractively loading drugs into liposomes. The present invention relies on apH gradient established across the liposomal membrane for moving atherapeutic agent from an external solution into the interior of theliposomes. The pH gradient may be established and maintained in variousmanners as will be appreciated by a person skilled in the art. In oneembodiment of the invention, an intra-liposomal solution is maintainedat a pH below about 6.5. In particular embodiments the intra-liposomalpH is maintained within the range of about 2 and 5, most preferablyabout pH 3.5. This may be achieved, for example, by providing a bufferin the intra-liposomal solution or by providing an ionophore forfacilitating exchange of ions between the interior solution and theexternal solution. The ionophore may be of any chemical class enablingthe exchange of the internal metal ion for two external protons. In onepreferred embodiment it consists of A23187. In an alternative embodimentthe ionophore may consist of ionomycin, or X-537A.

Irrespective of how the therapeutic agent is actively loaded into theliposomes (i.e. how the pH gradient is established), the presentinvention relates to the use of divalent copper ions within theintra-liposomal solution to enhance retention of the encapsulatedtherapeutic agent. The exact mechanism by which the copper ions functionhas not yet been elucidated. For example, the copper may bind to thetherapeutic agent and/or it may modify the permeability of the liposomemembrane. Even in the case where the ionophore facilitates exchange ofcopper ions in divalent form from the interior of the liposome to theexternal solution, at least some copper ions remain retained within theliposomes. As described further below, the presence of copper in theintra-liposomal solution may significantly enhance the retention andtherapeutic efficacy of the agent in vivo. As will be apparent to aperson skilled in the art, the retention of the therapeutic agent is“enhanced” in comparison to similar liposomal formulations which lackcopper. As described in detail below, enhanced drug retention may bedetermined by in vivo tests, such as plasma drug retention (FIGS. 19 and20).

The therapeutic agents may be of any class which has improved retentionin liposomes when loaded in the presence of intra-liposomal copper. Inone preferred embodiment the compound may be any weakly basic compound.In another preferred embodiment the therapeutic compound may be atopoisomerase inhibitor, preferably a camptothecin or an analoguethereof, most preferably irinotecan (CPT-11). In an alternativeembodiment, the therapeutic compound may be a compound that binds totubulin preferably from the class of vinca alkaloids. Vinblastine andvincristine are alkaloids found in the Madagascar periwinkle,Catharanthus roseus (formerly classified as Vinca rosea, which led tothese compounds becoming called Vinca alkaloids). They and vindesine andvinorelbine, semisynthetic derivatives of vinblastine, all work byinhibiting mitosis (cell division) in metaphase. The preferred vincaalkaloid for this invention is vinorelbine.

In another alternative embodiment, this invention provides the use ofsmall molecules (chemical compounds), proteins, antibodies or peptidesor any new or known composition of matter or pharmaceutically acceptablesalt thereof, to be encapsulated into a liposome in conjunction with adivalent copper ion to achieve superior retention properties.

The composition of the liposome consists of lipids1,2-distearoyl-sn-glycero-3-phosophocholine (DSPC)/Cholesterol (55:45mol %) and the ratios of the lipids may vary according to embodimentsvisualized by persons skilled in the art of liposome preparation. In analternative embodiment the liposome may consist of lipids includingphosphoglycerides and sphingolipids, representative examples of whichinclude phosphatidylcholine, phosphatidylethanolamine,phosphatidylserine, phosphatidylinositol, phosphatidic acid,palmitoyloleoyl phosphatidylcholine, lysophosphatidylcholine,lysophosphatidylethanolamine, dipalmitoylphosphatidylcholine,dioleoylphosphatidylcholine, distearoylphosphatidylcholine ordilinoleoylphosphatidylcholine. Other compounds lacking in phosphorus,such as sphingolipid and glycosphingolipid families are alsocontemplated. Additionally, the amphipathic lipids described above maybe mixed with other lipids including triacyglycerols and sterols.

A further modification contemplated within the scope of this invention,is inclusion of a targeting antibody on the surface of the liposome toenable specific localization of the liposome to areas of disease; forexample metastatic cancer cells which have spread to other sites in thebody.

Numerous diseases and conditions can be contemplated which would benefitfrom liposomes which increase drug retention, enabling therapeutic druginterventions with superior ADMET (absorption, distribution, metabolism,excretion and toxicity) properties. Such diseases would be including butnot limited to the treatment of cancer.

Preferably the pharmaceutical liposomal compositions are administeredparentally, i.e. intraarticularly, intravenously, subcutaneously, orintramuscularly. In other embodiments, the pharmaceutical preparationmay be administered topically.

In one particular embodiment of the invention, encapsulated irinotecanwith copper in the presence of A23187 ionophore exhibited unexpectedlysuperior retention of the irinotecan within the liposome in vivo and inaddition exhibited enhanced potency compared to irinotecan prepared withcopper-mediated loading in the absence of A23187 ionophore. In addition,the encapsulated irinotecan exists predominately in the clinicallyactive lactone form.

The following examples will further illustrate the invention in greaterdetail although it will be appreciated that the invention is not limitedto the specific examples.

Example 1.0 1.1 Materials and Methods

1.1.1 Liposome Formation

DSPC/Chol (55:45 mol %) large unilamellar vesicles (LUVs) were preparedby the extrusion method. Briefly, lipids were dissolved in chloroform atthe required molar ratio, labelled with the non-exchangeable,non-metabolizable lipid marker, 3H-CHE and dried to a thin film under astream of nitrogen gas. Subsequently, the lipid was placed in a highvacuum for 3 hours to remove any residual solvent. The lipid films werethen hydrated at 65° C. by mixing with the appropriate buffer (300 mMCuS04, 300 mM C0S04, 300 mM ZnS04 and 300 mM MnS04). The mixture wassubjected to five cycles of freeze-and-thaw (5 minutes each, freezing inliquid nitrogen and thawing at 65° C.). The formed multilamellarvesicles (MLV's) were extruded 10 times through stacked polycarbonatefilters of 0.1 μm pore size at 65° C. (Extruder, Northern lipids). Theresultant LUVs typically possessed mean vesicular diameters in the range110 nm±30 nm. The LUVs' external buffer was exchanged with SHE pH 7.5(300 mM sucrose, 20 mM HEPES, 15 mM EDTA) using sephadex G-50 sizeexclusion chromatography.

1.1.2 Metal Ion Gradient Formation

Extruded DSPC/Chol liposomes were prepared in unbuffered sulfate saltsolutions of copper, zinc, manganese, or cobalt. The external bufferswere exchanged with sucrose/HEPES/EDTA (SHE) buffer pH 7.5 to create ametal ion gradient. The efficiency of irinotecan loading (drug-to-lipidratio of 0.2 mol:mol) at 50° C. was determined over 60 min. The role ofinternal liposome pH on the efficiency of drug loading was assessedusing internal buffers comprising (CuS04/HEPES/TEA pH 7.5), orunbuffered CuS04+A23187 ionophore. When using A23187, Cu2+ ions from theliposome interior are exchanged for two protons from the external bufferthus maintaining a low internal pH. The membrane-impermeant pH-sensitivefluorescent probe, HPTS was used to investigate any changes in internalpH following copper-mediated irinotecan encapsulation (initial internalpH of 7.5 or 3.5—no ionophore). HPLC and TLC methods were used to assessthe carboxy and lactone contents of liposomal irinotecan.

1.1.3 Irinotecan Loading

Drug was incubated with lipid at 50° C. at a drug:lipid ratio=0.2:1(mol:mol). Uptake of the drug was determined at various timepoints bysampling aliquots and separating encapsulated drug from unencapsulateddrug using 1 ml sephadex G-50 spin columns equilibrated with theappropriate buffer (680 g×3 min). The excluded fractions, containing theliposomes, were analyzed in order to determine drugdipid ratios. Lipidconcentrations were measured using liquid scintillation counting.Irinotecan concentrations were determined by measuring absorbance at 370nm.

1.2 Results

1.2.1 Irinotecan Loading Efficiencies

Extruded DSPC/Chol liposomes were prepared in unbuffered sulfate saltsolutions of copper, zinc, manganese, or cobalt. The external bufferswere exchanged with sucrose/HEPES/EDTA (SHE) buffer pH 7.5 to create ametal ion gradient. The efficiency of irinotecan loading (drug-to-lipidratio of 0.2 mol:mol) at 50° C. was determined over 60 min. The role ofinternal liposome pH on the efficiency of drug loading was assessedusing internal buffers comprising (CuS04/HEPES/TEA pH 7.5), orunbuffered CuS04+A23187 ionophore. When using A23187, Cu2+ ions from theliposome interior are exchanged for two protons from the external bufferthus maintaining a low internal pH. The membrane-impermeant pH-sensitivefluorescent probe, HPTS was used to investigate any changes in internalpH following copper-mediated irinotecan encapsulation (initial internalpH of 7.5 or 3.5—no ionophore). HPLC and TLC methods were used to assessthe carboxy and lactone contents of liposomal irinotecan.

Irinotecan loading efficiencies were >90% using liposomes withencapsulated unbuffered solutions of CuS04 and ZnS04. The inclusion ofA23187 ionophore, to maintain a low internal pH, did not influence thecopper-mediated loading behaviour. When the internal and externalbuffers were adjusted to pH 7.5 (internal buffer—CuS04/HEPES/TEA pH7.5), irinotecan loading was again found to be >90%. HPTS measurementssuggest that the internal pH increases following loading via unbufferedCuS04. HPLC and TLC indicate that encapsulated irinotecan existspredominately as the lactone form (FIG. 5 and FIG. 6) regardless of theinitial internal pH of the transition metal solution.

1.2.2 Active Drug Loading of DSPC/Chol Liposomes with Irinotecan

Drug was incubated with lipid at 500 C at a drugrlipid ratio=0.2:1(mol:mol). Uptake of the drug was determined at various timepoints bysampling aliquots and separating encapsulated drug from unencapsulateddrug using 1 ml sephadex G-50 spin columns equilibrated with theappropriate buffer (680 g×3 min). The excluded fractions, containing theliposomes, were analyzed in order to determine drug:lipid ratios. Lipidconcentrations were measured using liquid scintillation counting.Irinotecan concentrations were determined by measuring absorbance at 370nm (FIG. 2).

1.2.3 Liposome and Ionophore Preparation

DSPC/Chol (55:45 mol %) large unilamellar vesicles (LUVs) were preparedas described above. The encapsulated buffers in this instance comprised300 mM CuS04 (unbuffered), 300 mM CuS04/20 mM HEPES/220 mM TEA pH 7.5,or 300 n1M CuS04+A23187 ionophore. The ionophore is incorporated intothe liposomal membrane, immediately prior to irinotecan loading, byincubating at 500 C for 10 min. The presence of A23187 facilitates theoutward movement of 1×Cu2+ from the liposome interior in exchange forthe inward movement of 2×H+ from the exterior buffer. Resultantly, theinterior of the liposome is maintained at low pH.

1.2.4 Active Drug Loading of DSPC/Chol Liposomes with Irinotecan:

Liposomes were loaded with irinotecan as described above. Irinotecanloading efficiencies remained >90% using liposomes with encapsulatedbuffered CuS04 pH 7.5 or unbuffered CuS04+A23187 ionophore (whichmaintains low pH environment) as shown in FIG. 3.

1.2.5 Determination of Liposome Internal pH Following Drug Loading

DSPC/Chol (55:45 mol %) liposomes were prepared as previously described.The liposomes were formulated with the following internal buffers, bothin the presence or absence of the fluorescent dye, HPTS (12.5 mM): 300mM CuS04 unbuffered, 300 mM CuS04/20 mM HEPES/220 mM TEA pH 7.5, 300 mMcitrate pH 3.5 and 20 mM HEPES pH 7.5 Following extrusion the externalbuffer was exchanged with SHE pH 7.5 using column chromatography aspreviously described.

Irinotecan was actively loaded into DSPC/Chol liposomes formulated withthe internal buffers 300 mM CuS04 pH 3.5 HPTS and 300 mM CuSO4/20 mMHEPES/TEA pH 7.5 HPTS. Loading conditions were as previously describedand the presence of HPTS did not impair the efficiency of irinotecanloading.

HPTS detection was performed using a LS-50B Luminescence Spectrometer(Perkin-Elmer). Liposome solutions were diluted in HBS pH 7.5 to a finallipid concentration of 0.5 mM in order to eliminate lipid-inducedinterference. The anionic fluorophore HPTS is water-soluble andmembrane-impermeant and therefore, can be trapped in the internalcompartment of the liposome. The excitation properties of HPTS aredependent on pH such that under acidic conditions the dye has anexcitation maximum at 405 nm whereas, increasing pH results in adiminished fluorescence intensity at 405 nm and an increasing intensityat 450 nm. This is exemplified by the scan shown in FIG. 4A which,represents HPTS fluorescent emission at 510 nm following excitation at350-490 nm for 2 control DSPC/Chol liposome formulations. When theinternal buffer is citrate at pH 3.5, HPTS excitation is at a maximum at405 nm. In contrast, an internal buffer of HEPES pH 7.5 results in adiminished signal at 405 nm and the emergence of significant excitationat 450 nm. The presence of Cu significantly quenches the HPTS signal toapproximately 20% of that seen in comparable conditions in the absenceof copper (FIG. 4B).

One aim of this experiment was to elucidate any internal pH changesfollowing loading of irinotecan into DSPC/Chol liposomes. FIG. 4Crepresents the excitation scan of the same Cu-containing liposomesdescribed in FIG. 4B with the exception that irinotecan has beenactively loaded under the conditions previously described. The increasedexcitation intensities observed for <400 nm is an artefact of irinotecanloading. Irinotecan is a fluorescently active compound with anexcitation wavelength of 368 nm and an emission wavelength of 423 nm.The main point of interest from this excitation scan is the emergence ofa significant signal centred around 450 nm for the liposome formulationcomprising the unbuffered CuS04 (pH ˜3.5). As we observed from theprevious scans there is no significant signal at this wavelength for ourcontrol liposome formulation at pH 3.5 (FIG. 4A, FIG. 4B).

Accounting for the effects of irinotecan on the excitation scans shownin FIG. 4C, the loading of this drug into Cu-containing liposomes at pH7.5 resulted in no appreciable change in the scan when compared with thedrug-free counterpart (FIG. 4B).

1.2.6 Irinotecan Lactone Ring Detection

Irinotecan was resolved on a CI 8 column (3.9×150 mm) using a mobilephase comprising 78% triethanolamine solution (3% v/v) and 22%acetonitrile. Drug was quantified by fluorescence (lexci=363 nm;lemiss=425 nm). Peak area analysis indicates that for liposomescontaining the unbuffered CuS04, 96% of irinotecan exists as the lactoneform and 4% as the carboxylate form (FIG. 5). The equivalent values forliposomes possessing an interior buffer of CuS04 pH 7.5 are 83% lactoneand 17% carboxylate.

Irinotecan controls and liposomal samples were solubilized in CHC13:MeOH(1:1 v/v) and spotted on a TLC plate. The lactone and carboxy forms ofthe drug were separated by exposing the TLC plate initially to a mobilephase of CHC13:MeOH:acetone (9:3:1 v/v/v) followed by a mobile phase ofbutanohacetic acid:water:acetone (4:2:1:1 v/v/v/v). The drug wasvisualized under UV light and confirmed that irinotecan existedpredominantly in the lactone form (FIG. 6).

1.2.7 In Vivo Liposome Stability Studies

Analysis of the liposome stability was determined by measuring freelipid and free drug levels in the plasma at specific timepoints (FIGS.7-10). These results showed that Cu2+ with ionophore A23187 at pH 3.5provided superior drug retention in the liposomes versus use of Mg2+ orin the absence of the ionophore or at pH 7.5 (see FIG. 9 and FIG. 10).

1.2.8 Efficacy Studies

The effect of encapsulating the drug irinotecan (CPT-11) on tumor volumeis shown in FIGS. 11-17. The effects of encapsulation in the presence ofCu2+ at pH 7.5 versus pH 3.5 versus pH 3.5 with ionophore were comparedat two doses of irinotecan (CPT-11). Encapsulation at pH 3.5 or at pH3.5 with ionophore both provided highly effective therapeutic regimes. Amore detailed analysis (FIG. 18) showed that encapsulation in thepresence of Cu2+ at pH 3.5 in the presence of ionophore provided thelongest growth delay for the tumour, highest log cell kill and superiorcell kill at the lowest dose (50 mol/kg). In FIG. 18, T−C is thedifference in days for a treatment tumour to increase in volume by 400%compared to control tumours; % Growth Delay=(T−C)/C×100, where C is theday of experiment when control tumour reaches 400%; Log CellKill=(T−C)/(3.32×Td), where Td is the tumour doubling time of controltumours; and % Cell Kill=(1−( 1/10^(x)))×100, where x is the Log CellKill.

Taken together, these efficacy results show that the compositionconsisting of Cu2+ with ionophore and irinotecan provides the mostpotent composition. This is consistent with the observations that thiscomposition provides the best plasma stability.

Irinotecan loading efficiencies were >90% using liposomes with CuS04.The inclusion of A23187 ionophore, to maintain a low internal pH, didnot influence the copper-mediated loading behaviour, but stronglyenhanced drug retention in liposomes when measured in plasma.Furthermore, HPLC and TLC indicate that encapsulated irinotecan existspredominately as the clinically-active lactone form regardless of theinitial internal pH of the transition metal solution. This compositionprovides enhanced drug retention in plasma yielding increased drugexposure in vivo and resulting in enhanced efficacy for lower doses ofirinotecan in the mouse xenograft tumor model.

In summary, irinotecan can be encapsulated into DSPC/Chol liposomesusing transition metal Cu2+ and an ionophore in a composition whichprovides excellent drug retention and superior efficacy in vivo.

Example 2.0 2.1 Plasma Drug Retention

FIGS. 19 and 20 illustrate drug to lipid ratios in the plasma followingin vivo administration to Rag-2M mice. In each case the administeredformulations consisted of the same liposome composition with differentinternal solutions as indicated in the figure legends. In the case ofboth the drug irinotecan (FIG. 19) and vinorelbine (FIG. 20) theformulation prepared by Cu2+/A23187 drug loading technology demonstratedsignificantly better plasma drug retention as indicated by the higherrelative drug-to-lipid ratios.

2.2 Pharmacokinetic Parameters of Different Irinotecan Treatments

FIG. 21 is a table similar to FIG. 18 summarizing pharmacokineticparameters of different irinotecan treatments. The delay in tumourgrowth was most effective in the case of the formulation prepared byCu2+/A23187 drug loading technology. In FIG. 21, irinotecanplasma-area-under-the-curve (AUG) was calculated using WinNonLinpharmacokinetic software (noncompartmental model) following a singlei.v. bolus dose administered to Rag-2M mice (n=3/timepoint). Theirinotecan plasma mean residence time (MRT) was calculated usingWinNonLin pharmacokinetic software (noncompartmental model) following asingle i.v. bolus dose administered to Rag-2M mice (n=3/timepoint). The% growth delay was calculated following a single dose of irinotecantreatment administered to Rag-2M mice with established s.c. LSI 80tumours (human colorectal carcinoma xenograft). % GrowthDelay=(T−C)/C×100, where C is the day of experiment when control tumoursreach 400% and T−C is the difference in days for a treatment tumour toincrease in volume by 400% compared to control tumours. Efficacy valuesare not stated for liposomal irinotecan (unbuffered 300 mM MnS04+A23187)because no head-to-head studies have been conducted. We have previouslypublished efficacy data relating to this murine model and this liposomeformulation (Messerer et al., Clin. Cancer Res. 10:6638-49, 2004).

As will be apparent to those skilled in the art in the light of theforegoing disclosure, many alterations and modifications are possible inthe practice of this invention without departing from the spirit orscope thereof. Accordingly, the scope of the invention is to beconstrued in accordance with the substance defined by the followingclaims.

What is claimed is:
 1. A composition comprising a liposome encapsulatinga single therapeutic agent, wherein said therapeutic agent is loadedinto said liposome in the presence of intra-liposomal copper ions and adivalent proton cation exchange ionophore within the lipid bilayer ofsaid liposome, wherein said divalent proton cation exchange ionophore isA23187.
 2. The composition as defined in claim 1, wherein saidtherapeutic agent is an anti-cancer drug.
 3. The composition as definedin claim 2, wherein said drug is a topoisomerase inhibitor.
 4. Thecomposition as defined in claim 3, wherein said drug is a camptothecinor an analogue thereof.
 5. The composition as defined in claim 4,wherein said drug is irinotecan.
 6. The composition as defined in claim5, wherein said irinotecan is predominately present in the lactone form.7. The composition as defined in claim 2, wherein said drug binds totubulin.
 8. The composition as defined in claim 7, wherein said drug isa vinca alkaloid or a derivative thereof.
 9. The composition as definedin claim 8, wherein said drug is selected from the group consisting ofvinblastine, vincristine, vindesine and vinorelbine.
 10. The compositionas defined in claim 1, wherein said lipsosome comprises lipids selectedfrom the group consisting of phosphoglycerides and sphingolipids. 11.The composition as defined in claim 10, wherein said lipids are selectedfrom the group consisting of phosphatidylcholine,phosphatidylethanolamine, phosphatidylserine, phosphatidylinositol,phosphatidic acid, palmitoyloleoyl phosphatidylcholine,lysophosphatidylcholine, lysophosphatidylethanolamine,dipalmitoylphosphatidylcholine, dioleoylphosphatidylcholine,distearoylphosphatidylcholine and dilinoleoylphosphatidylcholine. 12.The composition as defined in claim 11, wherein said liposome comprises1,2-distearoyl-sn-glycero-3-phosophocholine (DSPC)/Cholesterol.
 13. Amethod for treating cancer in a subject comprising the step ofadministering the composition as defined in claim
 1. 14. A liposomalformulation produced by a method comprising: (a) providing within theinterior of said liposomes an intra-liposomal solution comprising copperions; (b) providing a divalent proton cation exchange ionophore forfacilitating exchange of ions between said intra-liposomal solution andan external solution, wherein said divalent proton cation exchangeionophore is A23187; and (c) providing said therapeutic agent in saidexternal solution, wherein said therapeutic agent diffuses into saidinterior and is encapsulated within said liposomes, and wherein thepresence of said copper ions enhances the retention of said therapeuticagent therein, wherein said ionophore is added to said external solutionprior to providing said therapeutic agent in said external solution. 15.The formulation as defined in claim 14, wherein said ionophore exchangessaid copper ions in divalent form from said interior with protons insaid external solution.
 16. The formulation as defined in claim 14,wherein said therapeutic agent is an anti-cancer drug.
 17. Theformulation as defined in claim 16, wherein said drug is a topoisomeraseinhibitor.
 18. The formulation as defined in claim 17, wherein said drugis a camptothecin or an analogue thereof.
 19. The formulation as definedin claim 18, wherein said drug is irinotecan.
 20. The formulation asdefined in claim 16, wherein said drug binds to tubulin.
 21. Theformulation as defined in claim 20, wherein said drug is a vincaalkaloid or a derivative thereof.
 22. The formulation as defined inclaim 21, wherein said drug is selected from the group consisting ofvinblastine, vincristine, vindesine and vinorelbine.
 23. The formulationas defined in claim 14, wherein said lipsosome comprises lipids selectedfrom the group consisting of phosphoglycerides and sphingolipids. 24.The formulation as defined in claim 23, wherein said lipids are selectedfrom the group consisting of phosphatidylcholine,phosphatidylethanolamine, phosphatidylserine, phosphatidylinositol,phosphatidic acid, palmitoyloleoyl phosphatidylcholine,lysophosphatidylcholine, lysophosphatidylethanolamine,dipalmitoylphosphatidylcholine, dioleoylphosphatidylcholine,distearoylphosphatidylcholine and dilinoleoylphosphatidylcholine. 25.The formulation as defined in claim 24, wherein said liposome comprises1,2-distearoyl-sn-glycero-3-phosophocholine (DSPC)/Cholesterol.
 26. Acomposition comprising a liposomal formulation of claim 14.